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Hodgkin's lymphoma, calcification, pre-treatment, mediastinal, untreated
Calcification occasionally occurs in Hodgkin’s lymphoma after therapy due to tissue necrosis. Rarely, calcification may be detected prior to treatment. This likely represents a dystrophic process when bulky tumours outgrow their blood supply. Due to this rare presentation, pre treatment calcified Hodgkin’s lymphoma is often mistaken for germ cell tumours on imaging. It is thus important to include Hodgkin’s lymphoma in the differential of this presentation. We present such a case of pre-treatment calcification of Hodgkin’s lymphoma in a young male and discuss the incidence, pathophysiology and imaging findings.